Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014

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Kaewalee Soontornmon Yin Myo Aye Namhwan Phankhor Supaporn Watanatorn Wilailuck Modmoltin Chuleeporn Jiraphongsa

Abstract

In May 2014, a suspected multidrug-resistant tuberculosis (MDR-TB) outbreak in Lopburi Province was investigated following the national guidelines for tuberculosis (TB) outbreak investigation and assessed the quality of patient care based on the International Standards for TB Care. The case finding focused on TB cases diagnosed during December 2012 to August 2014. Medical charts were reviewed at Khok Samrong Hospital and contacts of a MDR-TB case who was lost to follow up were traced back. Study findings found an epidemiologically linked cluster of TB cases with five geographically related cases and four cases were from the same family. Factors that might have contributed to this TB outbreak were identified as well, including delay in diagnosis and sub-standard care, low socioeconomic status, delay in conducting contact tracing, and an ineffective TB database system. Diagnosis, treatment and prevention activities should be improved to prevent further TB outbreaks in the communities.


Keywords: tuberculosis, multidrug-resistant, contact tracing, quality of care, Thailand


Article in English

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How to Cite
SOONTORNMON, Kaewalee et al. Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014. OSIR Journal, [S.l.], v. 10, n. 2, p. 14-22, june 2017. ISSN 2286-8933. Available at: <http://www.osirjournal.net/index.php/osir/article/view/102>. Date accessed: 19 sep. 2017.
Soontornmon, ...., Aye, ...., Phankhor, ...., Watanatorn, ...., Modmoltin, ...., & Jiraphongsa, .... (2017). Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014. OSIR Journal, 10(2), 14-22. Retrieved from http://www.osirjournal.net/index.php/osir/article/view/102
Soontornmon, ...., Aye, ...., Phankhor, ...., Watanatorn, ...., Modmoltin, ...., & Jiraphongsa, .... 2017 Jun 29. Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014. OSIR Journal. [Online] 10:2
%A Soontornmon, Kaewalee %A Aye, Yin Myo %A Phankhor, Namhwan %A Watanatorn, Supaporn %A Modmoltin, Wilailuck %A Jiraphongsa, Chuleeporn %D 2017 %T Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014 %B 2017 %9 %! Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014 %K %X In May 2014, a suspected multidrug-resistant tuberculosis (MDR-TB) outbreak in Lopburi Province was investigated following the national guidelines for tuberculosis (TB) outbreak investigation and assessed the quality of patient care based on the International Standards for TB Care. The case finding focused on TB cases diagnosed during December 2012 to August 2014. Medical charts were reviewed at Khok Samrong Hospital and contacts of a MDR-TB case who was lost to follow up were traced back. Study findings found an epidemiologically linked cluster of TB cases with five geographically related cases and four cases were from the same family. Factors that might have contributed to this TB outbreak were identified as well, including delay in diagnosis and sub-standard care, low socioeconomic status, delay in conducting contact tracing, and an ineffective TB database system. Diagnosis, treatment and prevention activities should be improved to prevent further TB outbreaks in the communities. Keywords: tuberculosis, multidrug-resistant, contact tracing, quality of care, Thailand %U http://www.osirjournal.net/index.php/osir/article/view?path= %J OSIR Journal %0 Journal Article %& 14 %P 9 %V 10 %N 2 %@ 2286-8933 %8 2017-06-29 %7 2017-06-29
Soontornmon, Kaewalee, Yin Myo Aye, Namhwan Phankhor, Supaporn Watanatorn, Wilailuck Modmoltin, & Chuleeporn Jiraphongsa. "Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014." OSIR Journal [Online], 10.2 (2017): 14-22. Web. 19 Sep. 2017
TY - JOUR AU - Soontornmon, Kaewalee AU - Aye, Yin Myo AU - Phankhor, Namhwan AU - Watanatorn, Supaporn AU - Modmoltin, Wilailuck AU - Jiraphongsa, Chuleeporn PY - 2017 TI - Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014 JF - OSIR Journal; Volume 10 Issue 2 ( 2017 ): Outbreak, Surveillance and Investigation Reports KW - N2 - In May 2014, a suspected multidrug-resistant tuberculosis (MDR-TB) outbreak in Lopburi Province was investigated following the national guidelines for tuberculosis (TB) outbreak investigation and assessed the quality of patient care based on the International Standards for TB Care. The case finding focused on TB cases diagnosed during December 2012 to August 2014. Medical charts were reviewed at Khok Samrong Hospital and contacts of a MDR-TB case who was lost to follow up were traced back. Study findings found an epidemiologically linked cluster of TB cases with five geographically related cases and four cases were from the same family. Factors that might have contributed to this TB outbreak were identified as well, including delay in diagnosis and sub-standard care, low socioeconomic status, delay in conducting contact tracing, and an ineffective TB database system. Diagnosis, treatment and prevention activities should be improved to prevent further TB outbreaks in the communities. Keywords: tuberculosis, multidrug-resistant, contact tracing, quality of care, Thailand UR - http://www.osirjournal.net/index.php/osir/article/view?path=
TY - JOUR AU - Soontornmon, Kaewalee AU - Aye, Yin Myo AU - Phankhor, Namhwan AU - Watanatorn, Supaporn AU - Modmoltin, Wilailuck AU - Jiraphongsa, Chuleeporn PY - 2017/06/29/ TI - Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014 JF - OSIR Journal; Volume<font color=red> 10</font> Issue<font color=red> 2</font> (<font color=#33ff33>2017</font>): Outbreak, Surveillance and Investigation Reports KW - N2 - In May 2014, a suspected multidrug-resistant tuberculosis (MDR-TB) outbreak in Lopburi Province was investigated following the national guidelines for tuberculosis (TB) outbreak investigation and assessed the quality of patient care based on the International Standards for TB Care. The case finding focused on TB cases diagnosed during December 2012 to August 2014. Medical charts were reviewed at Khok Samrong Hospital and contacts of a MDR-TB case who was lost to follow up were traced back. Study findings found an epidemiologically linked cluster of TB cases with five geographically related cases and four cases were from the same family. Factors that might have contributed to this TB outbreak were identified as well, including delay in diagnosis and sub-standard care, low socioeconomic status, delay in conducting contact tracing, and an ineffective TB database system. Diagnosis, treatment and prevention activities should be improved to prevent further TB outbreaks in the communities. Keywords: tuberculosis, multidrug-resistant, contact tracing, quality of care, Thailand UR - http://www.osirjournal.net/index.php/osir/article/view?path=
Soontornmon, Kaewalee, Aye, Yin Myo, Phankhor, Namhwan, Watanatorn, Supaporn, Modmoltin, Wilailuck, AND Jiraphongsa, Chuleeporn. "Identification of a Tuberculosis Cluster through Epidemiological and Geographical Tracing of a Patient with Multidrug-resistant Tuberculosis in Lopburi Province, Thailand, 2014" OSIR Journal [Online], Volume 10 Number 2 (29 June 2017)